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MEDICAL CHARTAUDITING

Get paid for all your services through a preventive screening of your billing practice

More than

0

CLAIMS

per day
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More than

0

CLIENTS

per day
BE SAFE AND SAVE with WCH
WE ARE NOT CONTROL BUT ASSIST
MAXIMIZE
YOUR REIMBURSEMENT
WE ARE
ON YOUR
SIDE!

Tailored

Dependable and efficient solutions, tailored to suit your precise demands

Trusted

Your trusted partner for billing and credentialing expertise

24/7 Support

Experience peace of mind with our dedicated support team, available 24/7 to assist you

Oksana Pokoeva

Oksana Pokoeva

Account Representative
CUC, COC, CPMA, CPC-P
CPCO, CPC

(718) 934-6714 ext 1104

Our Guarantee:

icon Maintaining all HIPAA and Security Regulations.
icon Sensitivity regarding the regulations that affect the medical and legal industry. Identifying areas of risk in conjunction with Healthcare Laws and Regulations.
icon Analyzing that you are fully compliant with HIPAA, State, and Federal Regulations in your business operations.
icon Ensuring that your business is entirely protected.

Our areas of expertise:

check Audiology
check Dermatology
check Mental health
check Podiatry
check Medical necessity
check Charge captures
check Cardiology
check IDTF
check Neurology
check Radiology
check Denied claims
check Accuracy of medical coding for diagnoses, procedures
check Chiropractic
check Internal Medicine
check Physical Therapy Occupational Therapy
check Surgery
check Bundling issues
check Patterns

Reasons to Choose Us

reason

We have a team of highly skilled and experienced auditors who are well-versed in all areas of medical auditing.

reason

We provide comprehensive auditing services that include risk assessment, compliance review, and process improvement.

reason

We have a proven track record of success in providing audit services to a variety of medical organizations.

reason

We provide personalized services to each of our clients to ensure that their individual needs are met.

reason

We use the latest auditing technologies and techniques to ensure accuracy and reliability.

reason

We offer competitive rates and flexible payment options to make our services more accessible to all clients.

FAQ

  • Why do I need an Audit?
    faq faq
    With today's ever-changing regulations and high frequency of audits from the government and other healthcare payers, the internal Audit is a vital process that every practice must undergo. It is recommended that medical practices conduct internal Audits at least annually to confirm compliance with the coding guidelines and documentation requirements. Protect your practice. Accurate coding and compliance with documentation requirements and healthcare payers' guidelines directly affect your practice's income.
  • What Auditing Services are included in WCH's offerings?
    faq faq
    Auditing Services as per the Client's request may include the following:
    • Identification of areas of risk leading to upcoding or downcoding in the documentation and medical coding accuracy;
    • Verification that coding practices are compliant with the regulations set forth by private and government payers;
    • Education of providers and staff on how to use documentation to maintain HIPAA compliance;
    • Complete Chart Audit;
    • EMR Coding/Documentation Review;
    • Review compliance with the Incident to guidelines and services performed on collaborative premises;
    • Analysis of Denials/Duplicate billing /Appeal process (Pre-payment and Post-payment)/Modifier usage;
    • Review of format and content of the health record as well as other forms of medical/clinical documentation;
    • Coding, including ICD-10-CM, CPT, HCPCS;
    • Analysis of billed claims, including the UB-04, the HCFA 1500, charging procedures;
    • Review compliance with the State and federal regulations concerning the use, disclosure, and confidentiality of all patient records;
    • Front Desk work review including but not limited to: Eligibility verification/Benefit maximums verification/Excluded services verification/Authorization process/Patient responsibility (deductibles, copays, coinsurance)/Coordination of benefits;
    • Verification if any abusive billing or fraud exists;
    • Insurance plans participation and consistency of contracted rates;
    After the completion of the audit service, we provide a written report to the Client, setting out the findings, recommendations, and audit opinion arising from the Audit.
  • How Much Are Medical Record Auditing Services?
    faq faq

    WCH believes in conducting business with transparency and integrity. As such, our medical record auditing services do not include any hidden fees or unexpected upcharges. However, due to the nature of massive medical record reviews, the exact cost of each audit will vary.

    The professional fee for auditing services is $120.00 per hour. As part of WCH’s Auditing Services Agreement, a retainer fee of $1,000 is required. The billable hours are deducted from the retainer fee until it is exhausted.

    You will be provided with a detailed invoice at the conclusion of the audit, which will outline all billable hours and your remaining balance.

  • Can I Audit Both Outside Billers and Internal Management?
    faq faq
    Every medical practice should be auditing its billing practices annually. Coding errors, inadequate record keeping, incomplete submissions, and illegal shortcuts leave a practice vulnerable to an insurance audit. Make sure everyone involved with billing, both internal staff and outside vendors, is staying up-to-date, keeping comprehensive records and complying with the latest rules and regulations for each insurer.
  • What is a Second Opinion Audit?
    faq faq

    Want to make sure that you are paid what you deserve? If so, WCH can help with that, too, with our Second Opinion Audit.

    Now, there's an easy way to find out. Get a WCH Second Opinion.

    This fast and low-cost verification process can quickly verify any billing-related deficiencies, provide recommendations on a potential improvement, or confirm that you are completely on the same page with the best reimbursement practices. Here is how We Can Help you make a good fortune with your medical billing:

    Review of posted paid claims for accuracy
    Review of partially paid claims
    Review of denied claims and reasons
    Review of claims affected by a multi-procedure reduction
    Review of frequency of claims resubmission
  • Should I get a Second Opinion on My Billing for Profitability, Protection, and Peace of Mind?
    faq faq

    Are you confident your staff or billing service is capturing 100% of your reimbursements? Probably not. Practices lose up to 66% of their revenue annually due to coding and billing errors.

    Now, there's an easy way to find out. Get a WCH Second Opinion.

    WCH Second Opinion Internal Billing Audit Service is a quick and low-cost verification process that immediately identifies coding errors, recordkeeping issues, and potential liabilities. Most importantly, WCH Second Opinion pays for itself by uncovering missed revenue opportunities.
  • Will A Second Opinion Help Increase Practice Revenue?
    faq faq
    If your claims are being denied, you could be losing out on thousands of dollars in revenue every year. A WCH Second Opinion helps multi-location, multi-specialty practices and single-office providers analyze billing practices, identify errors, and make changes to regain revenue.
  • How does this Benefit our Practice?
    faq faq
    An expert second opinion will help you maximize revenue and minimize common mistakes that could lead to insurance suspension or a medical license suspension.

View More

Auditing Service Documents
Pdf file AUDITING SERVICE AGREEMENT

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Healthcare News

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May 01, 2025
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Republican Lawmakers Demand CMMI Prioritize Cost Savings, Transparency, and Rural Healthcare Republican lawmakers on the House Ways and Means Committee have issued a forceful call for the Center ...

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